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Implementation of an Emergency Department Screening and Care Management Referral Process for Patients With Sickle Cell Disease.

Publication ,  Journal Article
Rushton, S; Murray, D; Talley, C; Boyd, S; Eason, K; Earls, M; Tanabe, P
Published in: Professional case management
September 2019

The purpose of the project was to describe the implementation and evaluation of a care management referral program from emergency departments (EDs) to care management services for patients with sickle cell disease (SCD).Patients were referred to Community Care of North Carolina (CCNC), which is a private-public collaboration providing care management services and served as a referral hub for the program. Patients received follow-up from either CCNC or the North Carolina Sickle Cell Syndrome Program.A multidisciplinary, multiorganizational group streamlined the referral process for patients with SCD who have ongoing care needs by linking patients from the ED to care management services. The article presents a review of program implementation and evaluation over a 3½-year period. The target population were patients who had a diagnosis of SCD and presented to the ED for treatment. Emergency department staff used a modified version of the Emergency Department Sickle Cell Needs Assessment of Needs and Strengths tool to screen for social behavioral health needs in areas such as emotional, financial, pain management, and resources. All forms were faxed to a central number at CCNC for follow-up care management services. Community Care of North Carolina then linked the patient with the appropriate agency and staff for follow-up.More than 900 referrals were received in 3½ years. Pain was the most common reason for referral. An increase in care management intensity was observed over time. All levels of care management intensity saw an increase in the number of patients.Care management occurred across organizations after careful planning among stakeholders. The interagency cooperation permitted the development of a streamlined process. In particular, the creation of a single point for referral was an important component to allow for population-level monitoring and ease of making referrals. Patients with ongoing care needs were identified and there was an increase in the intensity of outpatient care management services delivered.

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Published In

Professional case management

DOI

EISSN

1932-8095

ISSN

1932-8087

Publication Date

September 2019

Volume

24

Issue

5

Start / End Page

240 / 248

Related Subject Headings

  • Referral and Consultation
  • Practice Guidelines as Topic
  • Patient Care Management
  • Middle Aged
  • Mass Screening
  • Male
  • Humans
  • Health Personnel
  • Female
  • Emergency Service, Hospital
 

Citation

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Chicago
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Rushton, S., Murray, D., Talley, C., Boyd, S., Eason, K., Earls, M., & Tanabe, P. (2019). Implementation of an Emergency Department Screening and Care Management Referral Process for Patients With Sickle Cell Disease. Professional Case Management, 24(5), 240–248. https://doi.org/10.1097/ncm.0000000000000356
Rushton, Sharron, Debbie Murray, Charles Talley, Sandra Boyd, Kern Eason, Marian Earls, and Paula Tanabe. “Implementation of an Emergency Department Screening and Care Management Referral Process for Patients With Sickle Cell Disease.Professional Case Management 24, no. 5 (September 2019): 240–48. https://doi.org/10.1097/ncm.0000000000000356.
Rushton S, Murray D, Talley C, Boyd S, Eason K, Earls M, et al. Implementation of an Emergency Department Screening and Care Management Referral Process for Patients With Sickle Cell Disease. Professional case management. 2019 Sep;24(5):240–8.
Rushton, Sharron, et al. “Implementation of an Emergency Department Screening and Care Management Referral Process for Patients With Sickle Cell Disease.Professional Case Management, vol. 24, no. 5, Sept. 2019, pp. 240–48. Epmc, doi:10.1097/ncm.0000000000000356.
Rushton S, Murray D, Talley C, Boyd S, Eason K, Earls M, Tanabe P. Implementation of an Emergency Department Screening and Care Management Referral Process for Patients With Sickle Cell Disease. Professional case management. 2019 Sep;24(5):240–248.

Published In

Professional case management

DOI

EISSN

1932-8095

ISSN

1932-8087

Publication Date

September 2019

Volume

24

Issue

5

Start / End Page

240 / 248

Related Subject Headings

  • Referral and Consultation
  • Practice Guidelines as Topic
  • Patient Care Management
  • Middle Aged
  • Mass Screening
  • Male
  • Humans
  • Health Personnel
  • Female
  • Emergency Service, Hospital